Individual
JORGE LUIS CAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 E HALIFAX CROSSING BLVD, DELTONA, FL 32725-2911
(386) 425-6100
(386) 425-6101
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME48428
FL
207R00000X
Internal Medicine Physician
ME48428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061454800
—
FL
01
—
61529
BCBS
FL
Enumeration date
03/03/2006
Last updated
10/10/2018
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